Engaging Stakeholders in the Development of an eHealth Intervention for Cancer Symptom Management for Rural Residents

Gilbertson‐White, Stephanie; Yeung, Chi W.; Saeidzadeh, Seyedehtanaz; Tykol, Hannah; Vikas, Praveen; Cannon, Ashley

doi:10.1111/jrh.12297

Cited by 14 publications

(26 citation statements)

References 24 publications

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“…Compliance was 98% – https://ascopubs.org/doi/abs/10.1200/JCO.2018.36.15_suppl.e18883 OASIS (Oncology Associated Symptoms and Individualized Strategies) Yes Web-based app ( https://oasis.nursing.uiowa.edu/AboutOasis ) Monitoring platform to track symptom distress with educational information about cancer symptoms Yes Web-based app Provide self-management strategies for symptoms Feasib. In progress 56 patients; 57 caregivers; 9 HCPs Adult potential system users from rural areas - Easy to use; relevant content (patients and caregivers) - Feasible; easy to use; relevant content Gilbertson-White [ 64 ] Oncokompas Yes Web-based PROMs completion targeting QOL domains Yes Web-based Tailored advice and personalized referral to supportive care options based on PROM scores and expressed preferences. Feasib.…”

Section: Resultsmentioning

confidence: 99%

“…From the patient perspective, some of the key factors identified for the uptake of the digital tools included the following: Ease of use [ 30 , 38 , 44 , 51 , 53 , 55 , 64 , 80 ]; Reassurance [ 28 , 30 , 41 , 48 , 49 , 55 , 59 , 70 ]; High usability and usefulness [ 37 , 42 , 44 , 58 , 62 , 74 ]; Improved communication with HCPs [ 27 , 29 , 30 , 53 , 58 ] www.owise.uk ; Correct generation of system alerts and fast response to alerts [ 28 , 70 , 80 ]; Patient empowerment [ 29 , 30 , 69 ]; and The convenience of real-time reporting of symptoms [ 28 , 37 ]; …”

Section: Resultsmentioning

confidence: 99%

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Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives

Aapro

Bossi

Dasari

et al. 2020

Support Care Cancer

200

161

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Background Digital health provides solutions that capture patient-reported outcomes (PROs) and allows symptom monitoring and patient management. Digital therapeutics is the provision to patients of evidence-based therapeutic interventions through software applications aimed at prevention, monitoring, management, and treatment of symptoms and diseases or for treatment optimization. The digital health solutions collecting PROs address many unmet needs, including access to care and reassurance, increase in adherence and treatment efficacy, and decrease in hospitalizations. With current developments in oncology including increased availability of oral drugs and reduced availability of healthcare professionals, these solutions offer an innovative approach to optimize healthcare resource utilization. Design This scoping review clarifies the role and impact of the digital health solutions in oncology supportive care, with a view of the current segmentation according to their technical features (connection to sensors, PRO collection, remote monitoring, selfmanagement in real time…), and identifies evidence from clinical studies published about their benefits and limitations and drivers and barriers to adoption. A qualitative summary is presented. Results Sixty-six studies were identified and included in the qualitative synthesis. Studies supported the use of 38 digital health solutions collecting ePROs and allowing remote monitoring, with benefits to patients regarding symptom reporting and management, reduction in symptom distress, decrease in unplanned hospitalizations and related costs and improved quality of life and survival. Among those 38 solutions 21 provided patient self-management with impactful symptom support, improvement of Key message Digital solutions with ePROs and self-management can be incorporated in supportive care in oncology practice and provide benefits to: patients, e.g., reduced symptom burden and distress, increased symptom reporting, improved overall survival; healthcare professionals, with targeted patient management; payors, potentially with reduced supportive care-related costs and hospitalizations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives

Aapro

Bossi

Dasari

et al. 2020

Support Care Cancer

200

161

View full text Add to dashboard Cite

show abstract

“…A total of three studies analyzed telehealth interventions in patients and health care professionals. Gilbertson-White et al [ 18 ] examined patient needs and satisfaction with an electronic health tool, Oncology Associated Symptoms and Individualized Strategies (OASIS), and concluded that the web application is easy to use, contains relevant content, has pleasing graphics, and was perceived positively. There were infrequent users of OASIS in the group; however, both frequent and infrequent internet users positively evaluated the web application [ 18 ].…”

Section: Resultsmentioning

confidence: 99%

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

Butzner¹,

Cuffee²

2021

J Med Internet Res

114

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Background In rural communities, there are gaps in describing the design and effectiveness of technology interventions for treating diseases and addressing determinants of health. Objective The aim of this study is to evaluate literature on current applications, therapeutic areas, and outcomes of telehealth interventions in rural communities in the United States. Methods A narrative review of studies published on PubMed from January 2017 to December 2020 was conducted. Key search terms included telehealth, telemedicine, rural, and outcomes. Results Among 15 included studies, 9 studies analyzed telehealth interventions in patients, 3 in health care professionals, and 3 in both patients and health care professionals. The included studies reported positive outcomes and experiences of telehealth use in rural populations including acceptability and increased satisfaction; they also noted that technology is convenient and efficient. Other notable benefits included decreased direct and indirect costs to the patient (travel cost and time) and health care service provider (staffing), lower onsite health care resource utilization, improved physician recruitment and retention, improved access to care, and increased education and training of patients and health care professionals. Conclusions Telehealth models were associated with positive outcomes for patients and health care professionals, suggesting these models are feasible and can be effective. Future telehealth interventions and studies examining these programs are warranted, especially in rural communities, and future research should evaluate the impact of increased telehealth use as a result of the COVID-19 pandemic.

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“…Given the current state of science on the web and mobile based symptom management interventions for advanced cancer patients which is still in its infancy, we could not include studies that were either ongoing or only had a published protocol. 46,47 Acknowledging that these studies have the potential to move the symptom management interventions forward, there are opportunities for future systematic reviews and meta-analyses once the results of these studies are published and available.…”

Section: Discussionmentioning

confidence: 99%

Web and mobile-based symptom management interventions for physical symptoms of people with advanced cancer: A systematic review and meta-analysis

et al. 2021

Self Cite

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Background: Symptom management is a critical aspect of comprehensive palliative care for people with advanced cancer. Web and mobile-based applications are promising e-Health modalities that can facilitate timely access to symptom management interventions for this population Aim: To evaluate the efficacy of web and mobile-based symptom management interventions in alleviating physical symptom burden in people with advanced cancer. Design: A systematic review and meta-analysis was conducted. PROSPERO ID = CRD42020155295. Data sources: We searched databases including PubMed, PsycINFO, and CINAHL from 1991 until 2019. Inclusion criteria were: adults with advanced cancer, web or mobile-based interventions targeting symptom management, and report of physical symptom data. Risk of bias was assessed using the ROBINS-I and RoB2. Using RevMan, standardized mean difference (SMD) and 95% confidence intervals were calculated. Heterogeneity was assessed using the I2 statistic. An assessment of interventions was conducted by evaluating the delivery mode, duration, and evaluation of application feature and theoretical elements. Results: A total of 19 studies are included in the systematic review and 18 in the meta-analysis. Majority of the studies were deemed to have high risk of bias. Most of the interventions used a web-application for delivering their education ( n = 17). While the interventions varied regarding duration and content, they were mainly guided by a symptom management theory. Web and mobile-based interventions significantly improved the overall physical symptom burden (SMD = −0.18; 95% CI = −0.28 to −0.09; I2 = 0%; p = 0.0002). Conclusions: Web and mobile-based intervention are efficacious in decreasing the overall physical symptom burden in people with advanced cancer.

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Engaging Stakeholders in the Development of an eHealth Intervention for Cancer Symptom Management for Rural Residents

Cited by 14 publications

References 24 publications

Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives

Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives

Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review

Web and mobile-based symptom management interventions for physical symptoms of people with advanced cancer: A systematic review and meta-analysis

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